Revista do Colegio Brasileiro de Cirurgioes最新文献

{"title":"Erratum.","authors":"","doi":"10.1590/0100-6991e-20253787errata-en","DOIUrl":"10.1590/0100-6991e-20253787errata-en","url":null,"abstract":"<p><strong>Background: </strong>[This corrects the article doi: 10.1590/0100-6991e-20243787-en].</p><p><strong>Background: </strong>[This corrects the article doi: 10.1590/0100-6991e-20243787].</p>","PeriodicalId":21454,"journal":{"name":"Revista do Colegio Brasileiro de Cirurgioes","volume":"52 ","pages":"e20253787er"},"PeriodicalIF":0.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143803979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Erratum.","authors":"","doi":"10.1590/0100-6991e-20243753errata-en","DOIUrl":"10.1590/0100-6991e-20243753errata-en","url":null,"abstract":"<p><strong>Background: </strong>[This corrects the article doi: 10.1590/0100-6991e-20243753-en].</p><p><strong>Background: </strong>[This corrects the article doi: 10.1590/0100-6991e-20243753].</p>","PeriodicalId":21454,"journal":{"name":"Revista do Colegio Brasileiro de Cirurgioes","volume":"52 ","pages":"e20243753er"},"PeriodicalIF":0.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143803973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgical treatment of bronchopulmonary malformations in children: experience in a Brazilian center.","authors":"Átila Magalhães Victória, Fabio Botelho, Clecio Picarro, Paulo Custódio Furtado Cruzeiro, Sherif Emil, José Carlos Fraga, Marcelo Eller Miranda","doi":"10.1590/0100-6991e-20253801-en","DOIUrl":"https://doi.org/10.1590/0100-6991e-20253801-en","url":null,"abstract":"<p><strong>Introduction: </strong>Bronchopulmonary malformations (BPM) are lower respiratory tract anomalies that include congenital malformations of the pulmonary airways (CMPA), bronchogenic cysts (BC), bronchopulmonary sequestrations (BPS), and congenital lobar emphysema (CLE). Prenatal detection in low- and middle-income countries is less common than in high-income ones. This study aims to show the experience in the surgical approach to BPM in a Brazilian center, with emphasis on clinical evolution and surgical results, according to the time of diagnosis (prenatal versus postnatal).</p><p><strong>Methods: </strong>We retrospectively analyzed medical records of patients under the age of 18 who underwent surgery for BPM at a referral center in a middle-income country between 2000 and 2021. Based on the time of BPM diagnosis, we divided the children into two groups: prenatal and postnatal. These groups were evaluated in terms of age at surgery, history of pneumonia before the operation, surgical outcomes (perioperative and postoperative complications, duration of mechanical ventilation, duration of chest tube, length of hospital stay), and histological type of BPM.</p><p><strong>Results: </strong>In the cohort of 66 patients, 43 (65.1%) had a prenatal diagnosis of BPM, while 23 (34.8%) were identified after birth. Compared with patients diagnosed prenatally, those diagnosed after birth underwent surgery at a higher age (mean of 978 days ± 1341.0 versus mean of 200 days ± 360.9; p<0.01), and had a higher incidence of pneumonia before surgery (65% vs. 12%, p < 0.01). There was no association between the time of BPM diagnosis and postoperative outcomes. All patients with BPS were in the prenatal group, and all patients with CLE were in the postnatal one. There was a higher prevalence of CMPA in the prenatal group compared with the postnatal one (72% vs. 39%, p < 0.01).</p><p><strong>Conclusion: </strong>In a Brazilian center, approximately 2/3 of the patients had an intrauterine diagnosis of bronchopulmonary malformations and were treated early at a neonatology center. Patients diagnosed with BPM only after birth were more likely to have pneumonia and undergo surgery at an older age than patients with an intrauterine diagnosis. Prospective, multicenter studies, including asymptomatic patients treated conservatively, without surgical interventions, and patients operated by video-assisted thoracoscopy, would be well indicated to evaluate the future evolution of children with BPM and to establish protocols appropriate to the Brazilian reality.</p>","PeriodicalId":21454,"journal":{"name":"Revista do Colegio Brasileiro de Cirurgioes","volume":"52 ","pages":"e20253801"},"PeriodicalIF":0.0,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143503717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Are eviscerations preventable?","authors":"Julio Fernandes Tomasi, Fabielle Menezes Tolfo, Lais Madeira Constantino, Felipe Antônio Cacciatori","doi":"10.1590/0100-6991e-20253814-en","DOIUrl":"https://doi.org/10.1590/0100-6991e-20253814-en","url":null,"abstract":"<p><strong>Introduction: </strong>The incidence of eviscerations is 3.5% in the literature. The use of prophylactic meshes in patients at high risk of evisceration has been studied. The objective of this study is to evaluate the characteristics of patients undergoing abdominal wall resuturing due to evisceration and verify the benefit of using prophylactic mesh in this sample.</p><p><strong>Methods: </strong>This is a retrospective cohort study, which analyzed the medical records of patients who underwent abdominal wall resuturing procedures between January 2010 and December 2023 in a tertiary hospital. The inclusion criteria were patients who underwent abdominal wall resuturing in the study hospital, with index surgery in the same hospital and median access. Patients under 18 years of age, patients undergoing laparoscopic surgery and non-median access were excluded. The Rotterdam risk score for aponeurosis dehiscence, modified by Lima, was used as a parameter.</p><p><strong>Results: </strong>The final sample of 252 patients was made up of 74.2% men. The median age was 64 years and the median BMI was 24.3kg/m2. The median number of days between surgery and resuturing was 8. The median hemoglobin was 11.1g/dL. The incidence of neoplasia, smoking and COPD was 47.2%, 32.1% and 13% respectively. Elective surgeries were 58.8%.</p><p><strong>Conclusion: </strong>It was concluded that, using the modified Rotterdam score, of the 227 patients, 164 (72.2%) would have received prophylactic mesh, which potentially would have prevented evisceration.</p>","PeriodicalId":21454,"journal":{"name":"Revista do Colegio Brasileiro de Cirurgioes","volume":"52 ","pages":"e20253814"},"PeriodicalIF":0.0,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143503688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reflections on the current context and assessment of undergraduate medical education in Brazil.","authors":"Gerson Alves Pereira Júnior, Ramiro Colleoni Neto, Rosana Alves, Hermila Tavares Vilar Guedes, Jorge Carvalho Guedes, Pedro Tadao Hamamoto Filho, José Eduardo Lutaif Dolci, Cesar Eduardo Fernandes","doi":"10.1590/0100-6991e-20243857-en","DOIUrl":"10.1590/0100-6991e-20243857-en","url":null,"abstract":"<p><p>This reflection article can be divided into two complementary parts. The first shows the current context of medical education in Brazil, bringing the most recent data on the number of undergraduate students and its growing gap in relation to the reduced number of vacancies in medical residency, which, despite being the most appropriate modality to train specialists, has been overlooked by the excessive number of lato sensu graduate courses. The second part discusses the possibilities of evaluating medical training, which is terminal in Brazil, enabling the newly graduated physician to claim the professional registration and to practice medicine, being evaluated only by their own medical course. It also reviews the historical evolution and pros and cons of evaluating medical education for doctors trained both locally and abroad.</p>","PeriodicalId":21454,"journal":{"name":"Revista do Colegio Brasileiro de Cirurgioes","volume":"51 ","pages":"e20243857"},"PeriodicalIF":0.0,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665328/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143024647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comments on \"Reflections on the current context and evaluation of undergraduate medical education\".","authors":"Vania Fontanella, Maria Celeste Morita","doi":"10.1590/0100-6991e-20243858-en","DOIUrl":"10.1590/0100-6991e-20243858-en","url":null,"abstract":"<p><p>The authors debate the arguments presented in the editorial \"Reflections on the current context and evaluation of undergraduate medical education\", bringing the context that culminated in the recent application of the National Proficiency Exam in Dentistry.</p>","PeriodicalId":21454,"journal":{"name":"Revista do Colegio Brasileiro de Cirurgioes","volume":"51 ","pages":"e20243858"},"PeriodicalIF":0.0,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665331/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143024558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"50 Years of the Journal of the Brazilian College of Surgeons: History, Evolution and Future Prospects.","authors":"Gerson Alves Pereira Junior, Andreia Cristina Feitosa DO Carmo, Julia Castro Neves, Ramiro Colleoni Neto","doi":"10.1590/0100-6991e-20243862EDIT01-en","DOIUrl":"10.1590/0100-6991e-20243862EDIT01-en","url":null,"abstract":"<p><p>This article celebrates the 50th anniversary of the continuous publication of the Journal of the Brazilian College of Surgeons (RCBC), revisiting its trajectory from the beginning to the present day. RCBC has evolved from a nationally relevant publication to a journal with international impact, constantly adapting to changes in editorial and scientific practices. This article presents an analysis of the major milestones, editorial changes, and innovations that have cemented RCBC as a prominent scientific vehicle. In addition, it discusses future strategies to maintain editorial quality and increase the visibility of the journal in the global scientific scenario.</p>","PeriodicalId":21454,"journal":{"name":"Revista do Colegio Brasileiro de Cirurgioes","volume":"51 ","pages":"e20243862EDIT01"},"PeriodicalIF":0.0,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665317/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143024555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of adrenal tumors and analysis of the metabolic profile of patients with incidentaloma.","authors":"Pedro Victor Gonçalves Montalvão, Iuri Moura Mangueira, Gabriel DA Motta Alves, João Vitor Fazzio Cordeiro, Marcia Helena Soares Costa, Guilherme DE Andrade Gagheggi Ravanini","doi":"10.1590/0100-6991e-20243685-en","DOIUrl":"10.1590/0100-6991e-20243685-en","url":null,"abstract":"<p><strong>Introduction: </strong>Advances in imaging methods have led to an increasingly frequent diagnosis of adrenal gland lesions as incidental findings. Despite progress in this field, there is still limited information regarding the epidemiology of the clinical and metabolic profile of patients with adrenal incidentaloma (AI). The objective is analyze the epidemiology of adrenal tumors at Gaffrée e Guinle University Hospital (HUGG) and compare it with data from the literature.</p><p><strong>Method: </strong>This is a cross-sectional study that included patients of any gender and age who was treated at HUGG for adrenal tumors.</p><p><strong>Results: </strong>The following variables were evaluated: age, gender, functionality, benignity, and size. We also analyzed the metabolic profile of patients with AI, specifically those with mild autonomy cortisol secretion. Out of 31 patients with adrenal tumors, 68% were female. The mean age was 55 years with a standard deviation of ±16.2. 54% of the sample had adrenal incidentalomas. 93.6% of the sample had benign cases. Among the adrenal incidentalomas, 53% were non-functioning. In patients with adrenal tumors, only 10% had metabolic syndrome, while in patients with mild autonomous cortisol secretion, this number rose to 17%.</p><p><strong>Conclusion: </strong>The sample of patients with adrenal tumors and incidentaloma at HUGG presented a prevalence of metabolic complications similar to that found in the literature.</p>","PeriodicalId":21454,"journal":{"name":"Revista do Colegio Brasileiro de Cirurgioes","volume":"51 ","pages":"e20243685"},"PeriodicalIF":0.0,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11702972/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143024645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Current context and evaluation of medical residency programs: experience of six Brazilian Medical Societies.","authors":"Gerson Alves Pereira Júnior, Ramiro Colleoni Neto, Jair Giampani Júnior, Jorge Carvalho Guedes, Reginaldo Raimundo Fujita, Adriano Fernando Mendes Júnior, Gustavo Salata Romão, Lucas Nepomuceno Barros, Luiz Alonso David, Paulo Fernando Constancio DE Souza, José Eduardo Lutaif Dolci, Cesar Eduardo Fernandes","doi":"10.1590/0100-6991e-20243861-en","DOIUrl":"10.1590/0100-6991e-20243861-en","url":null,"abstract":"<p><p>This article shows the most recent data on the evolution of the number of resident physicians and vacancies from R1 to R5, as well as the number of programs and institutions accredited by the National Commission for Medical Residency (CNRM). It also discusses the types and modalities of evaluation of medical residency, with a focus on the assessment of competencies throughout in-service training, which were incorporated into the most recent CNRM resolution, at the end of 2023, which amended and updated the 2006 directives. Finally, it shows the experience of six Medical Societies that conduct periodic evaluation of resident physicians, presented at a Brazilian Medical Association event.</p>","PeriodicalId":21454,"journal":{"name":"Revista do Colegio Brasileiro de Cirurgioes","volume":"51 ","pages":"e20243861"},"PeriodicalIF":0.0,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11702973/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143024637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Current context and the experience of Brazilian Medical Societies with Specialist Title Exams.","authors":"Gerson Alves Pereira Júnior, Ramiro Colleoni Neto, Jair Giampani Júnior, Jorge Carvalho Guede, Ana Cristina Kfouri Camargo, Fábio Teruo Matsunaga, Roseli Mieko Yamamoto Nomura, Felipe Oliveira Marques, José Eduardo Lutaif, Cesar Eduardo Fernandes","doi":"10.1590/0100-6991e-20243863EDIT01-en","DOIUrl":"10.1590/0100-6991e-20243863EDIT01-en","url":null,"abstract":"<p><p>The editorial discusses the need for the Specialist Title to be valued by Medical Societies, as a stage after the conclusion of medical residency and a mandatory prerequisite for taking the tests. Finally, it shows the experience of seven Medical Societies with their specialist title exams.</p>","PeriodicalId":21454,"journal":{"name":"Revista do Colegio Brasileiro de Cirurgioes","volume":"51 ","pages":"e20243863"},"PeriodicalIF":0.0,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665332/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143024643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}